@layout("/common/_form.html",{js:["/assets/modular/system/btyWlCheliang/edit.js"]}){

<form class="layui-form" id="noticeForm" lay-filter="noticeForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input name="id" value="${id}" type="hidden"/>

                    <div class="layui-form-item layui-col-md6">
                        <label class="layui-form-label">负责人<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="fzr" value="${fzr}" placeholder="请输入负责人" type="text" class="layui-input"
                                   lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-form-item layui-col-md6">
                        <label class="layui-form-label">车号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="chehao" value="${chehao}" placeholder="请输入车号" type="text" class="layui-input"
                                   lay-verify="required" required/>
                        </div>
                    </div>

                    <div class="layui-form-item layui-col-md6">
                        <label class="layui-form-label">司机<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="siji" value="${siji}" placeholder="请输入司机" type="text" class="layui-input"
                                   lay-verify="required" required/>
                        </div>
                    </div>

                    <div class="layui-form-item layui-col-md6">
                        <label class="layui-form-label">手机号<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="shoujihao" value="${shoujihao}" placeholder="请输入手机号" type="text"
                                   class="layui-input" lay-verify="required" required/>
                        </div>
                    </div>
                    <div class="layui-form-item layui-col-md6">
                        <label class="layui-form-label">备注</label>
                        <div class="layui-input-block">
                            <input name="beizhu" value="${beizhu}" placeholder="请输入备注" type="text"
                                   class="layui-input" />
                        </div>
                    </div>

                </div>
            </div>
        </div>
    </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>
</form>

@}
